SHYC Junior Sailing Registration

Instructions for using form:

One form needed per family. Additional sailors in a single family are all on this form. After filling in the 1st sailor, check additional sailor and more fields will appear. For each additional sailor (up to 5 kids) this form can be used.

Each child will need to have the health form filled out. If there are no health needs/issues to report please fill in "none" or "n/a". Your electronic signature at the bottom of the form will be for all sailors in the form.

For class descriptions please see SHYC website.

Discount for additional sailors will calculate automatically as you fill in the form for more than 1 family member. You will see a sub-total as you go through the form and a final total at the end when you submit.

For this season we will still be only accepting checks for payment. Please bring your check to the club at the opening lunch all fees are due at this time.

Full Season Dates: June 25 - August 17

Half Season Dates: June 25 - July 20 or July 23 - August 17

Multi-Child Discount:After your first child, each additional child gets a discount of $200 for a full season tuition or $100 for a half-season tuition excluding Ballast

*All Fees are due in Full at time of Registration (before first day of sailing), $50 penalty applies for late registration.

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Parent or Legal Guardian Information

Parent/Legal Guardian
*

Phone
*

-
Area Code Phone Number

Cell Phone

-
Area Code Phone Number

Address
*

City
*

State
*

Zip
*

Emergency Contact Info

Emergency Contact Name (if parent or guardian is not available)
*

Emergency Number
*

-
Area Code Phone Number

Sailor's Information

First Name
*

Last Name
*

Birth Date
*

Month Day Year

Grade entering in the fall
*

M/F
*

Male Female

Health Information

List any allergies (ex: bees, peanuts, dairy)

Any dietary needs that we should know about?

Choose Session and Class

Please choose either Full Season or 1st/2nd Half.

NOTE: You will be given class choices based on this selection.

Session
*

Full Season: June 25 - August 17 1st Half: June 25 - July 20 2nd Half: July 23 - August 17

Payment Information

Total Due for All Sailors

NOTE: For this season we will still be only accepting checks for payment. Please bring your check to the club at the opening lunch all fees are due at this time.

Health Consent

In the event of accident or injury to myself, or any child of mine (specifically including my child named above as “Participant”) or in the event of illness of myself, my spouse or any child of mine while in, on or about the premises of the event venue or while participating in any activity sponsored by or hosted by The Stone Horse Yacht Club under any circumstances where I am physically unable to consent or am not present:

1. I hereby voluntarily consent to the furnishing of myself, my spouse or any of my said children of such medical care, attention and treatment by any hospital, physician or physicians as such hospital, physician or physicians may deem necessary or advisable.

2. I authorize any officer of member of the Stone Horse Yacht Club, or any other event volunteer, to consent to such medical care, attention or treatment.

3. I agree to pay the reasonable cost of such medical care, attention or treatment and to indemnify and hold free and harmless of and from any and all liability for such cost the Stone Horse Yacht Club, the Laser Class Association of North America and its officers and members thereof, and the United States Sailing Association and its officers and members thereof. I, the undersigned, do hereby authorize and consent to any x-ray examination, anesthetic, medical or surgical diagnosis or procedure rendered under the general or specific supervision of any member of the medical staff or of a dentist licensed under the provisions of Massachusetts law or on the staff of any hospital holding a current operating certificate issued by the State Department of Health. It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but is given to provide authority and power to render care which the aforementioned physician in the exercise of his/her best judgment may deem advisable. It is understood that every effort will be made to contact the undersigned prior to rendering treatment to the patient, but that any of the above treatment will not be withheld if the undersigned cannot be reached.